Application for the grant of Ex-India leave upto a
period of 1 month to be submitted through concerned
Head of the Deptt./Centre.
1. During the leave the faculty member will not take up-any outside assignment without approval of the competent Authority.2. He/she will not extend the leave without prior approval of the Competent Authority.
3. He/She will only proceed on Ex-India leave after final notification of the sanctioned leave has been issued by Estt.I.
__________________________________________________________1. Name_______________________Designation____________________
E.Code No.____________Deptt./Centre______________________.
Date of joining___________________________________________
2. Request for the present Ex-India leave for__________days, from____________ to ______________.
Nature of leave_______________Purpose for Ex-India leave applied for_______________________________________________
(Please attach supporting documents, if any).3. Ex-India leave availed last from____________ to __________.
4. Address during the leave period____________________________
Date_________________ Signature____________
Head.Deptt/Centre
D.D.(F)
Director
A.R. (Estt-I)